<?xml version = "1.0"?>
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Strict//EN"
   "http://www.w3.org/TR/xhtml1/DTD/xhtml1-strict.dtd">
<!-- order.html -->

<html xmlns = "http://www.w3.org/1999/xhtml">

<head>
   <title>Order</title>

   <link rel = "stylesheet" href = "styles.css"
      type = "text/css" />
</head>

<body>
   <p class = "bigFont">Confirmacion de Compras</p>

   <!-- Form to input user information and credit card.   -->
   <!-- Note: No need to input real data in this example. -->
   <form method = "post" action = "process.jsp">

      <p style = "font-weight: bold">
         Ingrese la informacion siguiente.</p>

      <!-- table of form elements -->
      <table>
         <tr>
            <td class = "right bold">Nombres:</td>

            <td>
               <input type = "text" name = "firstname"
                  size = "25" />
            </td>
         </tr>

         <tr>
            <td class = "right bold">Apellidos:</td>

            <td>
               <input type = "text" name = "lastname"
                  size = "25" />
            </td>
         </tr>

         <tr>
            <td class = "right bold">Direccion:</td>

            <td>
               <input type = "text" name = "street" size = "25" />
            </td>
         </tr>

         <tr>
            <td class = "right bold">Ciudad:</td>

            <td>
               <input type = "text" name = "city" size = "25" />
            </td>
         </tr>

         <tr>
            <td class = "right bold">Pais:</td>

            <td>
               <input type = "text" name = "state" size = "2" />
            </td>
         </tr>

         <tr>
            <td class = "right bold">Codigo Postal:</td>

            <td>
               <input type = "text" name = "zipcode"
                  size = "10" />
            </td>
         </tr>

         <tr>
            <td class = "right bold">Telefono:</td>

            <td>
               (
                  <input type = "text" name = "phone" size = "3" />
               )

               <input type = "text" name = "phone2"
                      size = "3" /> -

               <input type = "text" name = "phone3" size = "4" />
            </td>
         </tr>

         <tr>
            <td class = "right bold">N. Tarjeta de Credito</td>

            <td>
               <input type = "text" name = "creditcard"
                  size = "25" />
            </td>
         </tr>

         <tr>
            <td class = "right bold">Expiracion (mm/yy):</td>

            <td>
               <input type = "text" name = "expires"
                  size = "2" /> /

               <input type = "text" name = "expires2"
                  size = "2" />
            </td>
         </tr>
      </table>

      <!-- enable user to submit the form  -->
      <p><input type = "submit" value = "Enviar" /></p>
   </form>
</body>

</html>